A1 Refereed original research article in a scientific journal

Intramyocardial injection of SERCA2a-expressing lentivirus improves myocardial function in doxorubicin-induced heart failure




AuthorsMattila M, Koskenvuo J, Soderstrom M, Eerola K, Savontaus M

PublisherWILEY-BLACKWELL

Publication year2016

JournalJournal of Gene Medicine

Journal name in sourceJOURNAL OF GENE MEDICINE

Journal acronymJ GENE MED

Volume18

Issue7

First page 124

Last page133

Number of pages10

ISSN1099-498X

DOIhttps://doi.org/10.1002/jgm.2885


Abstract
BackgroundDoxorubicin is an effective anticancer drug. The major limitation to its use is the induction of dose-dependent cardiomyopathy. No specific treatment exists for doxorubicin-induced cardiomyopathy and treatments used for other forms of heart failure have only limited beneficial effects. The contraction-relaxation cycle of the heart is controlled by cytosolic calcium concentrations, which, in turn, are critically regulated by the activity of the sarcoplasmic reticulum Ca2+ ATPase (SERCA2a) pump. We hypothesized that SERCA2a gene transfer would ameliorate doxorubicin-induced cardiomyopathy.MethodsLentiviral vectors LV-SERCA2a-GFP and LV-GFP were constructed and in vitro gene transfer of LV-SERCA2a-GFP confirmed SERCA2a expression by western blot analysis. Heart failure was induced by giving a single intraperitoneal injection of doxorubicin. LV-SERCA2a-GFP, LV-GFP vectors and phosphate-buffered saline (PBS) were injected under echocardiographic control to the anterior wall of the left ventricle.ResultsEchocardiography analyses were performed on the injection day and 28 days postinjection. On the injection day, there were no significant differences in the average ejection fractions (EFs) among SERCA2a (40.0%), GFP (41.1%) and PBS (39.4%) injected animals. On day 28, EF in the SERCA2a group had increased by 16.6 6.7% to 46.4 +/- 2.1%. By contrast, EFs in the GFP (40.2 +/- 1.3%) and PBS (40.6 +/- 1.4%) groups remained at pre-injection levels. In addition, end systolic and end diastolic left ventricle volumes were significantly smaller in the SERCA2a group compared to controls.ConclusionsSERCA2a gene transfer significantly improves left ventricle function and dimensions in doxorubicin-induced cardiomyopathy, thus making LV-SERCA2a gene transfer an attractive treatment modality for doxorubicin-induced heart failure. Copyright (c) 2016 John Wiley & Sons, Ltd.



Last updated on 2024-26-11 at 11:24